High fever with severe chills patient is unable to even walk few steps. treatment continues since 20th of feb 2025 . after TEST report indicates that patient is suffering from both malaria and typhoid.

Hello Uttam Singh Ji,

Thank you for reaching out. Unexplained weight loss can be a symptom of tuberculosis (TB), but it can also be caused by other health conditions. TB symptoms may include persistent cough (lasting more than 2 weeks), fever, night sweats, fatigue, and loss of appetite.

To better assist you, could you share if you are experiencing any of these symptoms? Also, have you had any recent exposure to someone with TB, or do you have any underlying health conditions?

We recommend consulting a doctor for proper evaluation. A chest X-ray, sputum test, or other tests may be needed to confirm or rule out TB. Early diagnosis and treatment are important for recovery.

Please take care!

Dear Bushra Ji,

We're sorry to hear about the challenges you're facing. It's understandable to feel concerned upon discovering white spots on your brain MRI, especially when dealing with seizures. Let's address your concerns systematically:

1. Understanding the MRI Findings:

• White Spots on MRI: These spots, often referred to as white matter lesions or hyperintensities, can result from various conditions. Common causes include small vessel disease, migraines, demyelinating diseases like multiple sclerosis, or even normal ageing processes. The significance of these lesions largely depends on their size, location, and your clinical history. Discussing these findings in detail with your neurologist to determine their relevance to your seizures is essential.

2. Current Medication Regimen:

• Lamitor 100 (Lamotrigine): This anticonvulsant is commonly prescribed to manage seizures. It's crucial to take it exactly as directed by your doctor. Common side effects include headaches, dizziness, blurred vision, and sleep disturbances. If you experience severe or persistent side effects, inform your doctor promptly.

• Antidepressants: Managing the psychological impact of chronic neurological conditions is vital. Antidepressants can help address symptoms of anxiety and depression. However, if you're feeling overly sedated or emotionally numb, or if the medications don't seem effective, it's important to communicate this to your psychiatrist. Adjustments or changes in your medication regimen might be necessary.

3. Addressing Your Concerns:

• Anxiety About MRI Findings: Feeling anxious about such findings is natural. However, not all white matter lesions are indicative of a severe condition. Their significance can vary widely. A thorough evaluation by your neurologist, considering both your MRI results and clinical symptoms, will provide a clearer picture.

• Seeking a Second Opinion: If you remain uncertain or uneasy about your diagnosis or treatment plan, consider seeking a second opinion. Another neurologist might offer additional insights or reassurance.

4. Recommendations:

• Open Communication: Maintain an open dialogue with your doctor. Share your concerns, ask questions, and ensure you understand the rationale behind your treatment plan.

• Regular Monitoring: Attend all scheduled follow-ups. Regular monitoring allows for timely adjustments to your treatment and ensures any new developments are promptly addressed.

• Self-Care: Incorporate stress-reducing activities into your routine, such as gentle exercise, meditation, or engaging in hobbies you enjoy. Adequate rest and a balanced diet can also support overall well-being.

Remember, your healthcare team is there to support you. Don't hesitate to reach out with any concerns or questions.